Evidence map›Paper›PMID 39217407›Full record

ReviewTropical diseases, travel medicine and vaccines2024

Cardioembolic stroke in Chagas disease: unraveling the underexplored connection through a systematic review.

Jorge Vásconez-González, Camila Miño, Juan S Izquierdo-Condoy, Camila Salazar-Santoliva, Andrés López-Cortés, Esteban Ortiz-Prado

Abstract readReview
In one paragraph

Review in Tropical diseases, travel medicine and vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Stroke from Infection.Cerebrovascular diseases extra · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jorge Vásconez-GonzálezOne Health Research Group, Faculty of Health Science, Universidad de Las Américas, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador.
Camila MiñoDepartment of Public Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.
Juan S Izquierdo-CondoyOne Health Research Group, Faculty of Health Science, Universidad de Las Américas, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador.
Camila Salazar-SantolivaOne Health Research Group, Faculty of Health Science, Universidad de Las Américas, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador.
Andrés López-CortésCancer Research Group (CRG), Faculty of Medicine, Universidad de Las Américas, Quito, Ecuador.
Esteban Ortiz-PradoOne Health Research Group, Faculty of Health Science, Universidad de Las Américas, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador. e.ortizprado@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD), triggered by the Trypanosoma cruzi parasite, is originally endemic across Latin America, affecting millions. While cardiac complications are widely recognized, the association between CD and stroke remains underexplored. This systematic review aims to elucidate the relationship between CD and stroke, highlighting the cardioembolic origins of stroke in CD patients and assessing the elevated stroke risk compared to non-infected individuals. METHODOLOGY: Adhering to the PRISMA guidelines, we conducted a comprehensive search in PubMed and Scopus databases without date restrictions, including articles in both Spanish and English. This approach enabled the identification and analysis of relevant studies to understand the interplay between CD and stroke risk.

resultsOur analysis of 25 selected studies indicates that strokes in CD patients predominantly arise from cardioembolic sources. The data underscore a significant increase in stroke risk among individuals infected with T. cruzi compared to uninfected counterparts. Additionally, CD patients face a higher stroke and mortality risk than those with other heart failure etiologies, irrespective of disease severity.

conclusionThe review establishes CD as a critical contributor to stroke incidence, emphasizing the need for heightened awareness and diagnosis of CD in stroke patients, particularly in regions with high CD prevalence. Recognizing the increased stroke risk associated with T. cruzi infection is crucial for developing targeted educational and preventive strategies in endemic areas.

Indexed as

Cardioembolic StrokeCerebrovascular complicationsChagas DiseaseStroke riskSystematic reviewTrypanosoma Cruzi

Identifiers

PMID39217407
PMCPMC11366139

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.